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Finally, a TPA solution that works the way you do. Straight out of the cloud, you have a fully functioning and configurable claims administration system, including account management, billing and time tracking, document management, and detailed reporting and analysis.
OneShield Market Solutions’ Third Party Administrator (TPAs) core system is pre-configured for processing of workers’ compensation, general liability, property, commercial automobile and specialty lines. This secure, cloud-hosted and configurable end-to-end claims administration solution supports multiple clients, accounts, and lines of business with automated workflows and rules — designed specifically to meet the unique needs of TPAs.
From claims intake through to file closure, you can quickly and easily customize workflows, business rules, codes, tables, forms and documents to match your processes. Other feature highlights include:
Track medical events, coordinate services among providers and compare recommended treatment plans with accepted protocols for workers’ compensation, liability or automobile claims involving injuries - reducing medical expenses and returning individuals to work as soon as possible.
Streamline every stage of the claims lifecycle across all lines of commercial, personal and specialty insurance.
Monitor and identify fraud activities by tracking events associated with insureds, locations, prospective clients and third-party customers